Reply to “Axillary reverse lymphatic mapping reduces patient perceived incidence of lymphedema after axillary dissection in breast cancer”

The question about numbness is easy to report by patients although the authors have not mentioned if they perform intercostobrachial nerve preservation during axillary dissection.5 Furthermore, to our knowledge, numbness under the arm is in no way an indicator for lymphedema but is often solely the...

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Bibliographic Details
Published in:The American journal of surgery 2016-02, Vol.211 (2), p.489-490
Main Authors: Zeltzer, Assaf A., M.D, Seidenstuecker, Katrin, M.D, Hamdi, Moustapha, M.D., Ph.D
Format: Article
Language:English
Subjects:
Breast cancer
Breast Neoplasms - surgery
Dissection
Female
Humans
Lymph Node Excision - adverse effects
Lymph Nodes - pathology
Lymphatic system
Lymphedema
Lymphedema - epidemiology
Patients
Questionnaires
Rosaniline Dyes
Surgery
Citations: Items that this one cites
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Summary:The question about numbness is easy to report by patients although the authors have not mentioned if they perform intercostobrachial nerve preservation during axillary dissection.5 Furthermore, to our knowledge, numbness under the arm is in no way an indicator for lymphedema but is often solely the result of nerve lesions during axillary surgery. Not only BMI but also the received chemotherapy cocktail is important.6 Fontaine et al7 have shown in a prospective study that Taxanes administered to the patients results in a higher incidence of breast cancer-related lymphedema (which is probably because of a higher permeability of the channels causing lymph leakage).
ISSN:0002-9610
1879-1883
DOI:10.1016/j.amjsurg.2015.05.032